﻿#parse("partials/headerpopup.html")
<div class="mws-form">
    <div class="mws-accordion">
        <h3>
            <a href="#">Medical Record 02-Oct-2011 18:30</a></h3>
        <div>
            <div class="mws-form-inline">
                <div class="mws-form-row">
                    <label>
                        Date</label>
                    <div class="mws-form-item large">
                        <label>
                            08-Oct-2011 18:30</label>
                    </div>
                </div>
                <div class="mws-form-row">
                    <label>
                        Subjective</label>
                    <div class="mws-form-item large">
                        PB dari OT datang dengan di Bagging sambung ventilator
                    </div>
                </div>
                <div class="mws-form-row">
                    <label>
                        Objective</label>
                    <div class="mws-form-item large">
                        <table cellpadding="0" cellspacing="0" border="0" class="fullwidth mws-table" id="datalist"
                            width="80%">
                            <thead>
                                <tr>
                                    <th style="text-align: center">
                                        Date
                                    </th>
                                    <th style="text-align: center">
                                        Body Temp
                                    </th>
                                    <th style="text-align: center">
                                        Pulse
                                    </th>
                                    <th style="text-align: center">
                                        Systolic
                                    </th>
                                    <th style="text-align: center">
                                        Diastolic
                                    </th>
                                    <th style="text-align: center">
                                        Respiratory Rate
                                    </th>
                                    <th style="text-align: center">
                                        Oxygen Saturation
                                    </th>
                                    <th style="text-align: center">
                                        Height
                                    </th>
                                    <th style="text-align: center">
                                        Weight
                                    </th>
                                    <th style="text-align: center">
                                        BMI
                                    </th>
                                    <th style="text-align: center">
                                        Pain
                                    </th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr>
                                    <td colspan="7" class="dataTables_empty">
                                        <!--<img src="${rooturl}Images/Custom/252.gif" />-->
                                    </td>
                                </tr>
                            </tbody>
                        </table>
                    </div>
                    <div class="mws-form-item large">
                        <input type="text" class="mws-textinput" value="PB dari OT datang dengan di Bagging sambung ventilator" />
                    </div>
                </div>
                <div class="mws-form-row">
                    <label>
                        Assesment</label>
                    <div class="mws-form-item large">
                        <input type="text" class="mws-textinput" value="Diagnosis:post of removal" />
                    </div>
                </div>
                <div class="mws-form-row">
                    <label>
                        Plan</label>
                    <div class="mws-form-item large">
                        <div class="mws-accordion">
                            <h3>
                                <a href="#">Medication Record</a></h3>
                            <div>
                                <div class="mws-form-inline">
                                  
                                </div>
                            </div>
                             <h3>
                                <a href="#">Procedure</a></h3>
                            <div>
                                <div class="mws-form-inline">
                                  
                                </div>
                            </div>
                             <h3>
                                <a href="#">Diet</a></h3>
                            <div>
                                <div class="mws-form-inline">
                                  
                                </div>
                            </div>
                             <h3>
                                <a href="#">Education</a></h3>
                            <div>
                                <div class="mws-form-inline">
                                  
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
#parse("partials/footerpopup.html") 